INTRODUCTIONThe Utilization Management Program of the Naval Hospital Guam facility is one which is designed to ensure that high quality, cost efficient health care is delivered to all members of the community. The Utilization Management Division is responsible for implementing a Utilization Management Plan which will monitor the appropriate usage of the health care facilities, services and its resources. These services may include utilization reviews, case management, discharge planning and outcome-based evaluations. The Utilization Management Program is completely planned and put into action by this division. It is also responsible for coordinating and monitoring access to care, developing programs, and evaluating the quality of healthcare services in accordance with guidelines from the Department of Defense, Lead Agent, Regional 12, and Health Affairs. UTILIZATION MANAGEMENT PROGRAM

The following provides an overview of the various functions of the Utilization Management Program at the Naval Hospital Guam facility. The program requirements may vary based on the member. Specialist Referrals– The Primary Care Physician (PCP) may request a consultation from a participating specialist physician at any time. The PCP determines the number of visits authorized. Specialists may include – Gynecologist, Radiation Oncologists, Ophthalmologists, Pediatric Ophthalmologists, Retinologists and Allergists etc. Emergency Room Services –An emergency medical condition is defined as a condition that manifests itself by acute symptoms of sufficient severity (including severe pain) that a prudent layperson with an average knowledge of health and medicine could reasonably expect the absence of immediate medical attention to result in any of the following: •Placing the health of an individual or, with respect to a pregnant woman, the woman’s health and that of her unborn child in serious jeopardy •Serious impairment to bodily functions

... Quality Improvement in Health Sector
Since NPM (New Public Management) approach in Public Sector many things have changed. Public services became much more consumer oriented.
Public servants of modern time have much more different approach towards people than before. One of the major influences on that comes from Private sector. Many services provided by public sector today can also be provided in Private sector. Of course those services of private sector are more expensive than in public sector but some services are still affordable for most of the people. In that way competition among public and private sector had an important role in reorganizing public sector and making it much better, efficient and effective. Demand full people of modern time with much greater expectations also played crucial role in change of priorities in public sector.
Also it is important to say that QualityAssurance is relatively new in public sector. When we speak about quality of some product it is easy to say what quality is and to measure that quality. It is very different when we speak about quality of some service provided in public sector. In order to go deeper and to analyze quality in Health sector first of all we need to define what QualityAssurance is.
QualityAssurance:
Noun: The...

...Joseph M. Juran
I E 361 Fall 2002
Team Members: Dragui Nestorovic Gonzalo Rodriguez Monica Kroh Jaroslav Sebek
Introduction Joseph M. Juran has led a life of success and accomplishments. Using his intelligence and dedication Juran changed himself from a poor Romanian immigrant into a world renowned quality control expert. He has had a varied successful career as an engineer, as a writer, as an educator and as a consultant. Juran has been called the “father” of quality, a quality “guru” and the man who “taught quality to the Japanese.” Juran has expanded the philosophies of quality from its statistical origins to what is now known as Total Quality Management. This paper contains a short summary of this great man’s achievements. Background Joseph M. Juran was born in Brailia, Romania, during December of 1904. When Joseph was five years old his father left Romania and came to the United States in order to make a better life for his family. Three years after he had left Romania Joseph’s father had earned enough money to bring the rest of his family to the United States. When Joseph was eight years old he and his family moved to Minnesota. The Jurans left Romania with hopes of prosperity. Their hopes were unfulfilled; they remained in poverty even after they came to the United States. Education During his youth, Joseph excelled at learning. Joseph was so far ahead of the...

...What is Product Quality Control?
The process that is used to assure a certain level quality in a service or product is called Quality Control. All businesses are required to implement a quality control and verification of a products and services that they will going to serve or sell. To meet standard requisites and characteristics of a certain products such as dependability, durability and satisfaction of the buyer is the main goal of quality control.
This method employs an importance on three aspects:
1. Components just like controls, job management, defined and well managed processes, performance and integrity criteria, and identification of records.
2. Competence, such as knowledge, skills, experience, and qualifications.
3. Soft elements, such as personnel, integrity, confidence, organizational culture, motivation, team spirit, and quality relationships.
Quality control involve also product inspections and observations, where all products are checked and examined manually and sometimes by using a stereo microscope to look for a detailed defects and features before it is sold.
Companies that involve in quality control such as china quality control normally have a list of workers who are foccusing to test a certain products and observe a newly services being done.The test must done in a random process of selecting a product that...

...thinking on quality and subsequently coming up with the idea of Kaizen and making it their way of doing.
Quality circles
Quality circles is an important organ of Kaizen, they consist of an informal group of people that involves operators, supervisors, managers, etc. getting together to improve processes and procedures in the making of a product. These circles are embraced in a participative style of management whereby new ideas are generated and implemented
The concept is based on the observation that the operators are in a better position to contribute ideas that will lead to an improvement in the operation since they are closest to the operation. Thus improvement ideas come not only from the management but form all levels of the organization.
The informal nature of the quality circles is such that invisible barriers between the people from different levels or departments of the organization are overcome and everyone feels free and comfortable to share their ideas. Thus consultation and discussion are hastened throughout the organization and the employees attain an uplift of morale and motivation also improving productivity.
The group members are actively involved in the decision making process and thus feel as an important player within the organization where they can contribute towards creating a better quality product. The members feel more integrated in the organization and as a family work...

...QualityAssurance and Quality Improvement
Introduction:
In this assignment I am going to analyse the qualityassurance and quality improvement framework and procedures on my teaching programme. The efforts to improve quality in education are very important and in recent years have received increasing attention. In particular three main factors, external pressure played an important role.
* Educational Issues: Concerns about performance of schools and colleges.
* Political Issues: Concerns about reducing public spending as a proportion of GDP and other public spending.
* Economic Arguments: Concerns about the links between educational spending and economic success, especially in comparison with competitor nations.
Legislative changes in the UK and elsewhere have brought increased autonomy for schools and colleges, accompanied by requirements making them more accountable for the quality of provision and spending decisions. (Preedy, Glatter and Levacic, 1997)
Learner’s Feedback and QualityAssurance and Quality Improvement:
There are a number of different ways for students to make their views known and offer constructive feedback on modules and programmes, including the use of questionnaires, attendance at key academic quality related committees, and feeding into...

...QualityAssurance and Quality Improvement Processes
in Advanced Massage
In this report I shall be considering the role of qualityassurance (QA) and quality improvement (QI) processes within the Advanced Massage Course
I wish to focus on how these processes relate to the process of assessment for both students and tutors.
QA is used in all areas of work from Hospital Procedures to Manufacturing processes, it can be defined as ‘a systematic process of verifying that a product or service being developed is meeting specified requirements’ (Dept. of Health, 2009). Newcastle College has clear, well defined and comprehensive QA processes, including monitoring, external verification. Working with other institutions and internal verification and audits.
The overall Q.A. framework is illustrated in the diagram attached I would like to focus on the area of the diagram which relates to assessment.
Student Assessment
The tutor is responsible for setting out a framework of assessment which includes assessment of written work and practical work. According to the Lifelong Learning UK (LLUK) standards these should ‘produce valid, reliable and sufficient evidence’ (EP 2.2) and that these methods should be applied ‘fairly and effectively’ (EP 2.1).
The assessment methods used on the course include ongoing formative assessments, such as observation of practical skills and regular coursework...

...QualityAssurance in Construction
The importance of QualityAssurance is based on the principals of getting things right first time. By implementing, maintaining, reviewing and continually improving a QualityAssurance System a company can achieve and reap the benefits of having such a system in place.
QualityAssurance exists because of the degree of dissatisfaction experienced by the industry's clients over a long period, combined with a growing impatience by some of their advisers to achieve value for money. An increasing number of building companies are also frustrated by the inadequacy of a system which, however valiantly they try, leaves their efforts lacking in some regard. A revolution has occurred in the assembly of buildings from what was a craft process, to one where the critical work of connecting interdependent units is done, in the main, by semi-skilled labour from a multiplicity of separate employers. This makes great demands upon supervision and management systems.
A Quality System is designed to provide an assurance to Clients, which can be supported through documented records, that all contracts will be completed in accordance with the agreed time, cost and specification. It should also further ensure that the company personnel, sub-contractors and key suppliers are aware of customer requirements and that...